不同性别冠心病患者主要危险因素的比较

Risk factors comsparison in male and female patients with coronary heart disease

目的探讨不同性别患者吸烟、高血压、糖尿病、年龄与冠心病发病的关系。方法2008年2月至6月在河北省唐山工人医院心内科收集病例113例,在河北省人民医院收集病例38例,核实全部病史情况。结果总计151例患者中(男93女58)吸烟、患有高血压和糖尿病以及年龄在60岁以上的人所占百分比,男性分别为:33%,48%,23%,55%。女性分别为:5%,50%,43%,74%。吸烟比率男性明显高于女性(P<0.05)。高血压对不同性别冠心病的作用强度无差别,而糖尿病和年龄对女性冠心病的作用强度明显大于男性(P<0.05)。结论不同性别冠心病主要危险因素存在差异,糖尿病是老年女性冠心病的主要危险因素。

Objective To explore the association between smoking, hypertension, diabetes mellitus （DM）, age and coronary heart disease （CHD） in different sex patients. Methods From 2008-2 to 2008-6, 113 CHD cases were collected from Tangshan Worker Hospital and 38 cases were collected from Hebei Province People＇s Hospital. The subjects＇ histories were determined. Results There were 93 male patients and 58 female patients and the rates of smoking, hypertension, DM and 〉60 years old in male patients were 33% ,48% ,23% and 55% respectively, while those of in female ones were 5% ,50% ,43% and 74% respectively. The rate of smoking in male patients was lower than that in female patients （P 〈 0. 01 ）. The effect of hypertension on different sex patients with CHD had no difference while the effects of DM and age on female patients with CHD were stronger than those on male patients with CHD （ P 〈 0. 05）. Conclusions There are differences in risk factors between different sex patients with CHD. DM is a main risk factor for female patients with CHD.